2024-08-27T19:39:36-05:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1500 RXR PLAZA WEST TOWER UNIONDALE NY 11556 990 2023-01-01 133964284 INDEPENDENCE CARE SYSTEM INC INDE 8774272525 25 ELM PLACE 5TH FLOOR BROOKLYN NY 11201 REGINA ESTELA CEO AND PRESIDENT 8774272525 2024-08-27 1 1 ELLEN M LABITA CPA P00140777 6317527400 2024-08-27 2023 2024-08-08 14:25:15Z REGINA ESTELA 25 ELM PLACE 5TH FLOOR BROOKLYN NY 11201 19194675 0 X WWW.ICSNY.ORG X 1999 NY TO IMPROVE THE HEALTH OF, AND SERVICES FOR, DISABLED PEOPLE REQUIRING LONG TERM HOME CARE. 12 11 139 11 0 0 330448 570014 13480671 12622718 66590 212459 175424 135491 14053133 13540682 0 0 0 0 11991094 11765307 0 0 0 3392749 3110503 15383843 14875810 -1330710 -1335128 14082337 12382855 7199051 6631250 6883286 5751605 X INDEPENDENCE CARE SYSTEM (ICS) IS A NONPROFIT ORGANIZATION COMMITTED TO ASSISTING PEOPLE WITH DISABILITIES TO LIVE INDEPENDENTLY AND PARTICIPATE FULLY IN COMMUNITY LIFE. WE SEEK TO BECOME A MODEL OF INTEGRATED HEALTH CARE AND SOCIAL SUPPORTS BASED ON COLLABORATION BETWEEN CONSUMERS, PROVIDERS AND CARE COORDINATORS. 0 0 11555815 0 12622718 EFFECTIVE APRIL 1, 2019, INDEPENDENCE CARE SYSTEM (ICS) IS THE FIRST AND ONLY "HEALTH HOME" PROGRAM IN NEW YORK STATE TO PROMOTE THE HEALTH AND INDEPENDENCE FOR INDIVIDUALS WITH SPINAL CORD INJURIES, MULTIPLE SCLEROSIS AND OTHER PHYSICAL DISABILITIES THAT LIMIT THEIR MOBILITY. THE NEW YORK STATE DEPARTMENT OF HEALTH (DOH) DESIGNATED ICS AS A HEALTH HOME FOR INDIVIDUALS WITH PHYSICAL DISABILITIES AND ICS ENTERED INTO A CARE MANAGEMENT AGREEMENT WITH VNS CHOICE. THESE TWO AGREEMENTS ALLOWED ICS TO CONTINUE ITS MISSION OF SUPPORTING ADULTS WITH PHYSICAL DISABILITIES AND CHRONIC CONDITIONS TO LIVE AT HOME AND PARTICIPATE FULLY IN COMMUNITY LIFE. 11555815 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 40 0 139 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X KERRI O'NEILL CFO 6468317215 25 ELM PLACE 5TH FLOOR BROOKLYN NY 11201 JEFFREY M KRAUSS CHAIRPERSON 1.00 0.00 X X 0 0 0 THOMAS K SMALL TREASURER 1.00 0.00 X X 0 0 0 GERRY DICKERSON BOARD MEMBER 1.00 0.00 X 0 0 0 CHRIS DUFF BOARD MEMBER 1.00 0.00 X 0 0 0 CARLA BOUTIN- FOSTER BOARD MEMBER 1.00 0.00 X 0 0 0 DONNA GALENO BOARD MEMBER 1.00 0.00 X 0 0 0 BILL GUERCI BOARD MEMBER 1.00 0.00 X 0 0 0 JOSE HERNANDEZ BOARD MEMBER 1.00 0.00 X 0 0 0 JANINE KNUDSEN BOARD MEMBER 1.00 0.00 X 0 0 0 GREGORY NERSESSIAN BOARD MEMBER 1.00 0.00 X 0 0 0 ADRIA POWELL BOARD MEMBER 1.00 0.00 X 0 0 0 RICK SURPIN BOARD MEMBER 1.00 0.00 X 22000 0 0 REGINA ESTELA CEO/PRESIDENT 35.00 0.00 X 304145 0 24811 KERRI O'NEILL SVP-OPERATIONS & INFORMATION 35.00 0.00 X 248796 0 22330 RACHAEL STACOM SVP, CLINIC PROG & POPULATION HEALTH 35.00 0.00 X 175809 0 0 HARRY K BONSU SVP, ADMINISTRATIVE & MEMBER SVCS 35.00 0.00 X 225651 0 0 DONNA LOONIE SVP, COMMUNICATIONS & MARKETING 35.00 0.00 X 217510 0 0 CATHERINE H BARUFALDI SVP, HUMAN RESOURCES 35.00 0.00 X 195389 0 24811 MEGAN ROGERS VP, OPERATIONS & INFORMATION SYSTEMS 35.00 0.00 X 173993 0 12405 1563293 0 84357 20 0 1 0 SUPERSUM SOLUTIONS INC 112-20 72ND DRIVE STE A37 FLUSHING NY 11375 IT CONSULTING 259125 3 570014 570014 MEDICAID PAYMENTS 621500 12622718 12622718 12622718 203912 203912 90200 15540 74660 74660 74660 5647000 5638453 8547 8547 8547 INSURANCE PREMIUM OVERPAYMENT 900099 60346 60346 MISC. INCOME 900099 485 485 60831 13540682 12622718 0 347950 600081 600081 8629222 6872455 1756767 1833573 1541140 292433 702431 537466 164965 22389 18145 4244 65850 53960 11890 1118 1118 698879 619495 79384 21551 21551 305337 250207 55130 280691 230010 50681 971212 804432 166780 33960 27828 6132 299679 245569 54110 203946 167285 36661 CLEANING 71033 62452 8581 REPAIRS AND MAINTENANCE 52490 50317 2173 MISCELLANEOUS FEES 31059 25492 5567 VEHICLE OPERATING EXPEN 28065 28065 23244 20379 2865 14875810 11555815 3319995 0 225707 751979 105570 3716 970945 1180597 398115 255055 4979118 4153556 923856 825562 1898137 462128 9560007 8903818 14082337 12382855 923757 1063504 6275294 5567746 7199051 6631250 X 6688916 5296858 194370 454747 6883286 5751605 14082337 12382855 X -1335128 69969 133478 X 0 1 X 1 0 X 419155 214420 3634293 330448 570014 5168330 9973686 15577334 14691318 13480671 12622718 66345727 10392841 15791754 18325611 13811119 13192732 71514057 0 0 0 71514057 38915 113589 141971 294112 588587 38915 113589 141971 294112 588587 31927 102475 113618 112526 60831 421377 10424768 15933144 18552818 14065616 13547675 72524021 0.98610 0.99840 0.00810 0.00090 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 102,475. 2021 AMOUNT: $ 113,618. 2023 AMOUNT: $ 485. OXFORD HEALTH INSURANCE REIMBURSEMENT - 2019 AMOUNT: $ 12,053. MUTUAL OF AMERICA REIMBURSEMENT - 2019 AMOUNT: $ 19,874. HEALTH CARE WORKERS BONUS - 2022 AMOUNT: $ 112,526. INSURANCE PREMIUM OVERPAYMENT - 2023 AMOUNT: $ 60,346. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 0 0 1 0 1 1118 1118 0 PART II-B, LINE 1: DURING 2023 ICS COLLABORATED WITH THE CIVICS LEAGUE FOR DISABILITIES, A GRASSROOTS, CONSUMER-LED, UNINCORPORATED GROUP, TO ADVOCATE FOR A SPECIALIZED PROGRAM FOR ADULTS WITH PHYSICAL DISABILITIES IN NYS. THIS ACTIVITY INCLUDED VISITS WITH LOCAL MEMBERS OF THE NYS LEGISLATURE AND MEETINGS WITH THE NYS MEDICAID DIRECTOR. ICS ALSO PAID FEES TO GREENBERG TRAURIG, LLP FOR GOVERNMENT REPRESENTATION AT THE NYS LEVEL. 1430716 1163509 267207 3461713 2903358 558355 86689 86689 0 825562 ASSETS, DISCONTINUED OPERATIONS 4200178 SECURITY DEPOSITS 97562 RIGHT OF USE ASSET, OPERATING LEASES 4606078 8903818 LIABILITIES, DISCONTINUED OPERATIONS 187567 OPERATING LEASE LIABILITY 5380179 5567746 X 13626191 69969 69969 13556222 -15540 -15540 13540682 14891350 15540 15540 14875810 0 14875810 PART X, LINE 2: MANAGEMENT HAS EVALUATED ICS'S TAX POSITIONS AND CONCLUDED THAT ICS HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION 740. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -15,540. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 15,540. X X X X 0 0 0 0 0 0 0 0 0 REGINA ESTELA CEO/PRESIDENT 304145 0 0 0 0 0 0 0 24811 0 328956 0 0 0 KERRI O'NEILL SVP-OPERATIONS & INFORMATION 248796 0 0 0 0 0 0 0 22330 0 271126 0 0 0 HARRY K BONSU SVP, ADMINISTRATIVE & MEMBER SVCS 225651 0 0 0 0 0 0 0 0 0 225651 0 0 0 CATHERINE H BARUFALDI SVP, HUMAN RESOURCES 195389 0 0 0 0 0 0 0 24811 0 220200 0 0 0 DONNA LOONIE SVP, COMMUNICATIONS & MARKETING 217510 0 0 0 0 0 0 0 0 0 217510 0 0 0 MEGAN ROGERS VP, OPERATIONS & INFORMATION SYSTEMS 173993 0 0 0 0 0 0 0 12405 0 186398 0 0 0 RACHAEL STACOM SVP, CLINIC PROG & POPULATION HEALTH 175809 0 0 0 0 0 0 0 0 0 175809 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION DISTRIBUTES A COPY OF THE FINAL "DRAFT" OF THE FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EMPLOYEES ARE EXPECTED TO CONDUCT ACTIVITIES RELATING TO PERSONS, BUSINESSES, AND OTHER ORGANIZATIONS CLOSELY ASSOCIATED WITH THEM IN SUCH A WAY THAT NO CONFLICT MAY ARISE BETWEEN THE OTHER INTERESTS AND THE POLICIES, OPERATIONS OR INTERESTS (REAL OR APPARENT) OF INDEPENDENCE CARE SYSTEM, INC. THIS INCLUDES, BUT IS NOT LIMITED TO, OUTSIDE EMPLOYMENT. A CONFLICT OF INTEREST IS ANY DIRECT OR INDIRECT INTEREST IN A CONTRACTOR, REFERRER, OR RELATED ORGANIZATION, ON THE PART OF AN EMPLOYEE OR AN EMPLOYEE'S IMMEDIATE FAMILY, THAT MIGHT REASONABLY AFFECT THE EMPLOYEE'S JUDGMENT OR DECISIONS EXERCISED ON BEHALF OF THE ORGANIZATION. PROVIDE COMPLIANCE TRAINING TO THE BOD AND TO HAVE THEM COMPLETE THE COI ATTESTATIONS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE PRESIDENT/CEO AND SVP-OPERATIONS & INFORMATION SYSTEMS ARE BASED ON EMPLOYMENT CONTRACT, WHICH WERE APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION FOR ALL OTHER POSITIONS WERE APPROVED BY THE CEO BASED ON RECOMMENDATIONS BY THE VICE PRESIDENT OF HUMAN RESOURCES AFTER CONSIDERING JOB DUTIES AND COMPETITIVE SALARIES IN THE COMMUNITY; INSURING EQUITY WITHIN THE ORGANIZATION. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: NET GAIN FROM WIND-DOWN OF DISCONTINUED OPERATIONS 133,478.